<div class="enbac-bound">
    <table cellpadding="4" width="100%" bgcolor="#D3E1F1">
        <tr>
            <td width="69%"  class="enbac-form-title">{$mode} Tỉnh thành</td>
            <td width="11%" class="form_title_button"><a href="javascript:void(0);" onclick="EditProvinceForm.submit();"><img alt="" src="style/images/admin/download_f2.png" class="icon_cmd"/><br>
            Ghi l&#7841;i</a></td>
            <td width="10%" class="form_title_button"><a href="province.html"><img alt="" src="style/images/admin/back_f2.png" class="icon_cmd"/><br>
            Quay l&#7841;i</a></td>
        </tr>
	</table>
    
	<table width="100%"  cellpadding="10" cellspacing="10" border="0">	 
    <td style="width:100%">
	{$msg}
		<div class="form_input_label">T&ecirc;n t&#7881;nh th&agrave;nh:</div>
		<div class="form_input">
			<input name="name" type="text" id="name" value="{$name}" class="enbac-input-large">
		</div>
		<div class="form_input_label">T&ecirc;n vi&#7871;t t&#7855;t:</div>
		<div class="form_input">
			<input name="brief_name" type="text" id="brief_name" value="{$brief_name}" class="enbac-input-large">
		</div>
		<div class="form_input_label">V&#7883; tr&iacute;:</div>
		<div class="form_input">
			<input name="position" type="text" id="position" value="{$position}" class="enbac-input-large">
		</div>
		<div class="form_input_label">Khu v&#7921;c:</div>
		<div class="form_input">
           <select name="area" id="area">{$option_area}</select>
		</div>
		</div>
		<div class="form_input_label">Tr&#7841;ng th&aacute;i:</div>
		<div class="form_input">
			<select name="status" id="status">{$option_status}</select>
		</div>
		<div class="form_input_label">T&#7893;ng s&#7889; tin:</div>
		<div class="form_input">
			<input name="total_item" type="text" id="total_item" value="{$total_item}" class="enbac-input-large">
		</div>
		<div class="form_input">
			<input name="submit_button" type="submit" value="Ghi l&#7841;i">
			<input name="reset_button" type="reset" value="L&agrave;m l&#7841;i">
		</div>
	</form>
	</td>
  </tr>
</table>
</div>
</div>